Lack of medication reconciliation at the point of transitions between skilled nursing facilities/nursing homes (SNF/NHs) and acute care hospitals (ACHs) is a common point of origin for medical errors that cause harm to patients. The goal of this quality improvement initiative was to improve medication reconciliation at the point of transition from the SNF/NH to the ACH which in turn would reduce medication errors, adverse drug events, and medication-induced injury to the vulnerable elderly population. We implemented a workflow redesign process to reconcile the accuracy of residents’ medications at the time of transfer from the SNF/NH to the ACH. After the initiation of a medication reconciliation protocol, 72% (n=13/18) of the medication administration records (MARs) had no medication errors.
Blake, R. W. (2017). Reducing Medication Errors Through Workflow Redesign. Journal of Nursing & Interprofessional Leadership in Quality & Safety, 1 (2). Retrieved from http://digitalcommons.library.tmc.edu/uthoustonjqualsafe/vol1/iss2/5